Nursing Elites

1. Mental disorders are almost always _______, meaning they are influenced by multiple genes.

• A. environmental
• B. chemical circuits
• C. polygenic
• D. probabilistic

Correct answer: C

Rationale: The correct answer is C: 'polygenic.' Mental disorders are polygenic, which means they are influenced by multiple genes. This term specifically refers to conditions or traits that are caused by more than one gene. Choice A, 'environmental,' is incorrect as it doesn't directly refer to the genetic influence on mental disorders. Choice B, 'chemical circuits,' is incorrect as it is too specific and not a common term used to describe the genetic basis of mental disorders. Choice D, 'probabilistic,' is incorrect as it relates more to the likelihood or chance of something happening rather than the genetic influence on mental disorders.

2. Dr. Kali works with clients to help them learn deep relaxation. Next, he has them list their fears from least to most anxiety-provoking. Finally, Dr. Kali slowly exposes his clients to each of their fears and assists them in gaining control of their anxiety. His approach is best known as?

• A. Systematic desensitization
• B. Aversion therapy
• C. Flooding
• D. Fear therapy

Correct answer: A

Rationale: The correct answer is A, systematic desensitization. This therapy involves a step-by-step exposure to feared stimuli, helping individuals manage and reduce their anxiety. In this case, Dr. Kali's method of listing fears from least to most anxiety-provoking and gradually exposing clients to them aligns with the principles of systematic desensitization. Choices B, C, and D are incorrect. Aversion therapy involves associating an undesirable behavior with an unpleasant stimulus, flooding involves immediate and intense exposure to feared stimuli, and 'fear therapy' is a broad term that does not specifically describe the systematic exposure and relaxation techniques used in systematic desensitization.

3. Which of the following explanations for the relationship between SES and abnormal behavior is not supported by the existing data?

• A. Low SES may cause abnormal behavior.
• B. Abnormal behavior is more likely to go untreated in those of low SES.
• C. Recovery from loss of a job may be more difficult for those exhibiting signs of mental illness.
• D. High SES may cause abnormal behavior.

Correct answer: D

Rationale: The correct answer is D because high SES as a cause for abnormal behavior is not supported by existing data. Abnormal behavior is often associated with factors like stress, trauma, genetics, or environmental influences. High SES is not a known cause of abnormal behavior. Choices A, B, and C are more plausible explanations: Low SES may lead to limited access to mental health care, untreated abnormal behavior due to financial constraints, and difficulties in coping with mental health issues after job loss, respectively.

4. Unlike those with autism spectrum disorder, those with reactive attachment disorder have a history of:

• A. Schizoid personality disorder
• B. Autism spectrum disorder
• C. Reactive attachment disorder
• D. Disinhibited social engagement disorder

Correct answer: C

Rationale: The correct answer is C: Reactive attachment disorder. Individuals with reactive attachment disorder have a history of severe social neglect, which distinguishes it from autism spectrum disorder. Choice A, Schizoid personality disorder, is incorrect as it is not typically associated with the history described in reactive attachment disorder. Choice B, Autism spectrum disorder, is incorrect because individuals with autism spectrum disorder do not necessarily have a history of severe social neglect. Choice D, Disinhibited social engagement disorder, is also incorrect as it is a separate attachment disorder characterized by indiscriminate social behavior, not necessarily a history of neglect.

5. How do socioeconomic factors affect mental health?

• A. Socioeconomic factors do not affect mental health.
• B. Socioeconomic factors are one of the primary determinants of mental health.
• C. Socioeconomic factors only affect mental health in extreme cases.
• D. Socioeconomic factors have no clear impact on mental health.

Correct answer: B

Rationale: The correct answer is B. Socioeconomic factors like income and education levels are key determinants of mental health. They influence access to resources such as healthcare, housing, and social support systems, which can impact an individual's mental well-being. Additionally, socioeconomic factors can contribute to stress levels and overall quality of life, which in turn affect mental health. Choice A is incorrect because socioeconomic factors do play a significant role in mental health outcomes. Choice C is incorrect as socioeconomic factors have a broad impact on mental health beyond extreme cases. Choice D is also incorrect as numerous studies have shown the clear impact of socioeconomic factors on mental health.

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